|Department||Health Care Authority|
|Date Opened||6/25/2020 08:00:00 AM|
|Filing Deadline||7/9/2020 11:59:00 PM|
|Full or Part Time||
This position is responsible to serve as a primary point of contact for clinical pharmacy communications, questions, problems, and developments; and to support the Pharmacy Director in the management of the OHCA pharmacy programs.
*Analyzes pharmacy program and recommends interventions for cost-effective use of resources.
*Analyzes claims utilization for clinical issues using MMIS, Business Objects, and Excel.
*Designs and drafts member and provider intervention and education projects working with Pharmacy Management Consultants at the OU College of Pharmacy.
*Supports and assists Pharmacy Director with policy development through reporting and analysis, budget planning, rule drafting, and State Plan amendments.
*Supports and assists Pharmacy Director with MMIS claims processing enhancements such as new edits or audits.
*Directs and monitors pharmacy program contractor activities and assists in contract language, negotiation with contractor representatives, appropriations process, agency contracting process, and invoice reconciliation for all vendor contracted activities affecting the pharmacy department. These programs include, but are not limited to: State Maximum Allowable Cost, Prior Authorizations, and Drug Utilization Review.
*Develops, operationalizes, and assists in the development of a disease and medication therapy management program. This function may include policy development, State Plan Amendments, CMS waivers, administrative rules, rate-setting, the RFP process, provider and vendor contracts, budgeting, and monitoring.
*Responds to patient care issues.
*Interacts with SoonerCare members regarding prescription issues while working toward resolution.
*Consults with provider pharmacists and physicians related to the pharmacy program.
*Consults/supports agency departments regarding pharmacy issues.
*Represents OHCA regarding pharmacy issues with external stakeholders and at various meetings.
*Other duties as assigned.
Travel on an “as needed” basis.
This position has no supervisory responsibilities.
EDUCATION AND/OR EXPERIENCE:
*Bachelor of Pharmacy (R. Ph) or Doctor of Pharmacy (Phar.D.) degree AND Currently licensed as Doctor of Pharmacy in the State of Oklahoma AND Seven (7) years of Pharmacy experience
PREFERENCE MAY BE GIVEN TO CANDIDATES WITH:
*Experience with claims analysis for health plans, pharmacy benefit management, or drug utilization review
*Medicaid experience (especially SoonerCare)
The Oklahoma Health Care Authority complies with applicable Federal civil rights laws and does not discriminate. All qualified applicants will receive consideration for employment without regard to race, color, sex, religion, disability, age, national origin, or genetic information. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact the Civil Rights Coordinator at 405-522-7335.
Veteran's Preference Points Apply only for initial appointment in the Classified Service.
Click on a link below to apply for this position:
|Fill out the Supplemental Questionnaire and Application NOW using the Internet.|
|View and print the Supplemental Questionnaire.||This recruitment requires completion of a supplemental questionnaire. You may view and print the supplemental questionnaire here.|